Plastic & Hand Surgical Associates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PLASTIC & HAND SURGICAL ASSOCIATES

Practice address

11 Rock Row Ste 210
Westbrook, ME 04092-4877

Phone

(207) 775-3446

Fax

(207) 879-1646

NPI assigned

Dec 26, 2014

Last updated

Jan 26, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Colette Bergeron Davies, CPA

Title

Practice Administrator

Phone

(207) 775-3446

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Plastic Hand Surgical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Western Avenue Day Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Westbrook, ME
  • NPI 1841688942
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1104214204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROCK ROW STE 210",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924877",
            "telephone_number": "207-775-3446",
            "fax_number": "207-879-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ROCK ROW STE 210",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924877",
            "telephone_number": "207-775-3446",
            "fax_number": "207-879-1646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "244 Western Ave",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041062430",
            "country_code": "US",
            "telephone_number": "207-775-3446",
            "fax_number": "207-879-4188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLASTIC & HAND SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_middle_name": "BERGERON",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "207-775-3446",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107150000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darlene Peterson
• Brooke Pfister, MD
• Owen B Pickus, D.O.
• Jojo Robertelijah Picone
• Rebecca Anne Pizzo, PHARMD
• Plastic & Hand Surgical Associates
• Plastic & Hand Surgical Associates
• Portland Community Health Center (Greater Portland Health)
• Portland Homehealth Care LLC
• Portland West Family Practice, LLC

• Specialist in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.